<!DOCTYPE html>
<head>
<link rel="shortcut icon" href="favicon.ico"/>
<meta property="qc:admins" content="1614134767657601667167" /><meta charset="utf-8" />
<title>貔貅手链-填写表单-梦行表单</title>
<meta name=keywords content="貔貅手链-填写表单-梦行表单">
<meta name="description" content="貔貅手链-填写表单">
<meta name="generator" content="梦行Monxin" />
<meta name="author" content="梦行Monxin Team" />
<meta name="renderer" content="webkit" />
<meta name="apple-mobile-web-app-capable" content="yes">
<meta http-equiv="X-UA-Compatible" content="IE=edge, chrome=1;" />
<meta content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0;" name="viewport" />
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta name="viewport" content="target-densitydpi=medium-dpi,  initial-scale=1,minimum-scale=1,maximum-scale=1,user-scalable=no">
<link href="http://duolivape.com/public/font-awesome/css/font-awesome.min.css" rel="stylesheet" type="text/css">
<link href="http://duolivape.com/public/animate.min.css" rel="stylesheet" type="text/css">
<link href="http://duolivape.com/templates/bootstrap/css/bootstrap.css" rel="stylesheet" type="text/css">
<script src="http://duolivape.com/public/jquery.js"></script>
<script src="http://duolivape.com/public/jquery-ui.min.js"></script>
<script src="http://duolivape.com/public/blocksit.min.js"></script>
<script src="http://duolivape.com/templates/bootstrap/js/bootstrap.js" type="text/javascript"></script>
<script src="http://duolivape.com/public/sys_head.js"></script>
<script src="http://duolivape.com/public/top_ajax_form.js"></script>
<script>
wx.config({
	debug: false, 
	appId: '', 
	timestamp:'', 
	nonceStr: '', 
	signature: '',
	jsApiList: ['checkJsApi','onMenuShareTimeline','onMenuShareAppMessage','onMenuShareTimeline','onMenuShareAppMessage','onMenuShareQQ','onMenuShareWeibo','onMenuShareQZone',	] 
});	

wx.ready(function(){							
	wx.onMenuShareTimeline({
		title: $('title').html(), 
		link: window.location.href+'#&share='+getCookie('monxin_id')+'&', 
		imgUrl: get_share_img(), 
		success: function () {},
		cancel: function () {}
	});		
	
	wx.onMenuShareAppMessage({
		title: $('title').html(), 
		desc: '', 
		link: window.location.href+'#&share='+getCookie('monxin_id')+'&', 
		imgUrl: get_share_img(), 
		type: '', 
		dataUrl: '', 
		success: function () {},
		cancel: function () {}
	});	
	
	wx.onMenuShareQQ({
		title: $('title').html(), 
		desc: $('title').html(), 
		link: window.location.href+'#&share='+getCookie('monxin_id')+'&', 
		imgUrl: get_share_img(), 
		success: function () {},
		cancel: function () {}
	});
});
</script>
<script>
$(document).ready(function(){
	if(getCookie('monxin_device')=='phone' && ($(window).width()>$(window).height()) ){
		$(".page-content > .container").css('width','30%').css('background-color','#fff');	;
		$(".page-content > .container").parent().css('background-color','#F3F3F3');	
	}
	
});
</script>
<style>
		[user_color='head']{ border-color:; background:#ffffff; color:#000000;}
		[user_color='head'] a{color:#000000;}
		[user_color='head'] input,[user_color='head'] select,[user_color='head'] textarea{background:#ffffff; color:#000000;}

		[user_color='container'],#mall_layout{ border-color:; background:#EFF3F8; color:#000000;}
		
		[user_color='container'] a,#mall_layout a{ color:#000000;}
		.sum_card .card_head{background:#009ee7; color:#ffffff;}
		[user_color='shape_head']{ border-color:#009ee7; background:#009ee7; color:#ffffff;}
		[user_color='shape_head'] a{color:#ffffff;}
		[user_color='shape_head'] input,[user_color='shape_head'] select,[user_color='shape_head'] textarea{background:#009ee7; color:#ffffff;}
		.caption{color:#009ee7; }
		[user_color='shape_bottom']{ border-color:#009ee7; background:#009ee7; color:#ffffff;}
		[user_color='shape_bottom'] a{  color:#ffffff;}
		[user_color='shape_bottom'] input,[user_color='shape_bottom'] select,[user_color='shape_bottom'] textarea{background:#009ee7; color:#ffffff;}

		[user_color='nv_1']{ border-color:#009ee7; background:#009ee7; color:#ffffff;}
		[user_color='nv_1'] > a{ border-color:#009ee7; background:#009ee7; color:#ffffff;}
		[user_color='nv_1']:hover{ border-color:#0b7cd2; background:#0b7cd2; color:#ffffff;}
		.dropdown-menu li:hover{background:#0b7cd2; color:#ffffff;}
		.dropdown-menu li:hover a{color:#ffffff;}

		[user_color='nv_1']:hover a{ border-color:#0b7cd2; background:#0b7cd2; color:#ffffff;}
		[user_color='nv_2']{ border-color:#0b7cd2; background:#0b7cd2; color:#ffffff;}
		[user_color='nv_2']>a{ border-color:#0b7cd2; background:#0b7cd2; color:#ffffff;}
		[user_color='nv_2']:hover{ border-color:#0099CC; background:#0099CC; color:#ffffff;}
		[user_color='nv_2']:hover a{ border-color:#0099CC; background:#0099CC; color:#ffffff;}
		[user_color='nv_3']{ border-color:#0099CC; background:#0099CC; color:#ffffff;}
		[user_color='nv_3']>a{ border-color:#0099CC; background:#0099CC; color:#ffffff;}
		[user_color='nv_3']:hover{ border-color:#00CCCC; background:#00CCCC; color:#ffffff;}
		[user_color='nv_3']:hover a{ border-color:#00CCCC; background:#00CCCC; color:#ffffff;}

		
		[user_color='container'] [monxin-module]{ border-color:rgba(0, 0, 0, 0.1); background:#ffffff; color:#000000;}
		[user_color='container'] [monxin-module] a{ color:#000000;}
		[user_color='container'] [monxin-module] input,[user_color='container'] [monxin-module] select,[user_color='container'] [monxin-module] textarea{background:#ffffff; color:#000000;}
		.portlet{box-shadow: 0px 2px 5px 2px rgba(0, 0, 0, 0.1);}
		
		.table_scroll table{ border-color:#dddddd;  background:#ffffff; color:#000000;}
		.table_scroll{ border:1px solid #dddddd;}
		.table_scroll table tr td{ border-color:#dddddd; }
		.table_scroll table thead{ border-color:#dddddd; background:#ffffff; color:#000000;}
		.table_scroll table thead a{ color:#000000;}
		
		.table_scroll table tbody tr:nth-of-type(odd){ border-color:#dddddd; background:#F9F9F9; color:#000000;}
		.table_scroll table tbody tr:nth-of-type(odd) input,.table_scroll table tbody tr:nth-of-type(odd) select,.table_scroll table tbody tr:nth-of-type(odd) textarea{  background:#F9F9F9; color:#000000;}
		.table_scroll table tbody tr:nth-of-type(odd) a{  color:#000000;}
		
		.table_scroll table tbody tr:nth-of-type(even){ border-color:#dddddd; background:#ffffff; color:#000000;}
		.table_scroll table tbody tr:nth-of-type(even) input,.table_scroll table tbody tr:nth-of-type(even) select,.table_scroll table tbody tr:nth-of-type(even) textarea{  background:#ffffff; color:#000000;}
		.table_scroll table tbody tr:nth-of-type(even) a{color:#000000;}
		
		.table_scroll table tbody tr:hover{ border-color:#dddddd; background:#F5F5F5; color:#000000;}
		.table_scroll table tbody tr:hover a{ color:#000000;}

		.container [user_color='page']{ border-color:#F5F5F5; background:#ffffff; color:#0b7cd2;}
		.container [user_color='page'] a{ border-color:#F5F5F5; background:#ffffff; color:#0b7cd2;}
		.container [user_color='page'] a:hover{ border-color:#F5F5F5; background:#EEEEEE; color:#0b7cd2;}
		.container [user_color='page'] .active a{ border-color:#F5F5F5; background:#0b7cd2; color:#ffffff;}
		.container [user_color='page'] .active:hover a{ border-color:#F5F5F5; background:#0b7cd2; color:#ffffff;}
		
		.container [user_color='button'],.submit,#submit,.add,.btn,.replace,.increase,#add{ border-color:#0b7cd2; background:#0b7cd2; color:#ffffff  !important;}
		.container [user_color='button']:hover,.submit:hover,#submit:hover,.add:hover,.replace:hover,.increase:hover,#add:hover{border-color:#ffffff; background:#00CCCC; color:#ffffff  !important;}
		.container [user_color='button'] .view{color:#ffffff  !important;}
		
		#icons li a img{ border-color:#0b7cd2; background:#0b7cd2; color:#ffffff  !important;}
		#icons li a img:hover{border-color:#ffffff; background:#00CCCC; color:#ffffff  !important;}
		
	</style>
<link rel="stylesheet" href="http://duolivape.com/templates/0/index/default/pc/main.css" type="text/css">
</head>
<body >
<!--BEGIN HEADER -->
<div class="page-header" monxin_layout="head" user_color='head'>
    </div>
<!-- END HEADER -->
<!-- BEGIN PAGE CONTAINER -->
<div class="page-container" user_color='container'>
   <div class="page-content">
	    <div class="container" monxin_layout="full" m_container="m_container"> 
                   
            <script>function set_diqu(id,v){
				 $("#"+id).prop("value",v);
				}</script><div style="display:none;" id="visitor_position_append">貔貅手链</div><div id=form_data_add  class="portlet light" monxin-module="form_data_add" align=left >
    <script>
    $(document).ready(function(){
		//$("#form_data_add").height($(window).height()-0-73);
		
		$("#form_data_add select").each(function(index, element) {
            if($(this).attr('monxin_value')){$(this).val($(this).attr('monxin_value'));}
        });
		$("#form_data_add monxin_radio").each(function(index, element) {
            if($(this).attr('monxin_value')){
				$("#"+$(this).attr('id')+' input[value="'+$(this).attr('monxin_value')+'"]').prop('checked',true);	
			}
        });
		$("#form_data_add monxin_checkbox").each(function(index, element) {
            if($(this).attr('monxin_value')){
				temp=$(this).attr('monxin_value').split('/');
				for(v in temp){
					$("#"+$(this).attr('id')+' input[value="'+temp[v]+'"]').prop('checked',true);	
				}
			}
        });
		$("monxin_radio input").click(function(){
			$(this).parent('monxin_radio').val($(this).val());	
			
		});
		$("monxin_checkbox input").click(function(){
			id=$(this).parent('monxin_checkbox').attr('id');
			v='';
			$("#"+id+" input").each(function(index, element) {
                if($(this).prop('checked')){v+=$(this).val()+'/';}
            });
			$("#"+id).val(v);
		});
		$("#form_data_add_html input").keydown(function(event){
			if(event.keyCode==13 && event.target.tagName!='TEXTAREA'){return exe_monxin_form_submit();}		  	
		});
		$("#form_data_add #submit").click(function(){
			exe_monxin_form_submit();
			return false;
		});
		
        $("input[type='radio']").css('border','none');
        $("input[type='checkbox']").css('border','none');
		
		
		$("#close_button").click(function(){
			$("#fade_div").css('display','none');
			$("#set_monxin_iframe_div").css('display','none');
			t=$("#monxin_iframe").attr('src');
			t=t.split('?id=');
			t=t[1].split('&');
			t=t[0];
			temp=getCookie('map_'+t);
			if(temp){
				$("#form_data_add #"+t).val(getCookie('map_'+t).replace(/%2C/g,','));
			}
			return false;
		});
		$("#form_data_add input[monxin_type='map']").focus(function(){
			set_iframe_position(800,500);
			//monxin_alert(replace_file);
			$("#monxin_iframe").attr('scrolling','auto');
			$("#fade_div").css('display','block');
			$("#set_monxin_iframe_div").css('display','block');
			$("#monxin_iframe").attr('src','http://baidumap.monxin.com/get_point.php?id='+$(this).attr('id')+'&point='+$(this).val());
			return false;	
		});
		
    });
    
	function exe_monxin_form_submit(){
			err=false;
			try{if(editor){editor.sync();}}catch(e){}
			
			
			$("#form_data_add span").each(function(index, element) {
                if($(this).html()=='不能为空' || $(this).html()=='不符合要求' || $(this).html()=='存在相同的'){$(this).html('');}
            });
			$("#form_data_add span[class='state']").each(function(index, element) {
               $(this).html('');
            });
			var obj=new Object();
			$(".monxin_input").each(function(index, element){
				if($(this).prop('value')==undefined){$(this).prop('value','');}
				if( $(this).prop('value')=='' && $(this).attr('monxin_required')==='1'){$("#"+$(this).attr('id')+'_state').html('<span class=fail>不能为空</span>');$(this).focus();err=true;return false;}
				if($(this).attr('check_reg')!=''  && $(this).attr('monxin_required')==='1'){
temp=$(this).attr('check_reg');
　　					if($(this).prop('value').match(eval(temp))==null){$("#"+$(this).attr('id')+'_state').html('<span class=fail>不符合要求</span>');$(this).focus();err=true;return false;}
				}
               obj[$(this).attr('id')]=$(this).prop('value');
			   //alert($(this).attr('id'));
            });
			if(err){return false;}
			//return false;
			
			$("#form_data_add #submit").next('span').html('<span class=\'fa fa-spinner fa-spin\'></span>');
			$.post("receive.php?token=7CO6PEXG&target=form::data_add&table_id=39&act=add",obj,function(data){
				$("#form_data_add #submit").next('span').html('');
				//alert(data);
				try{v=eval("("+data+")");}catch(exception){alert(data);}
				
				if(v.state=='fail'){
					if(v.id){
						$("#"+v.id).focus();
						$("#"+v.id+'_state').html(v.info);	
					}else{
						$("#form_data_add #submit").next('span').html(v.info);
					}
				}else{
					$("#form_data_add_html").css('text-align','center');
					$("#form_data_add_html").html(v.info);
				}
	
			});	
	}
        
    </script>
    <script src="http://duolivape.com/plugin/datePicker/index.php"></script>
		<style>
	
		#form_data_add{margin-top:70px; }  
   
	
	
	#form_data_add #gender input{ }
	#form_data_add #authcode_img{ height:25px;}
    #form_data_add div{ line-height:3rem; white-space:nowrap;}
    #form_data_add .m_label{ display:inline-block; width:14%; text-align:right; overflow:hidden; padding-right:5px; }
	#form_data_add .m_label .required{ color:red; }
    #form_data_add .input_span{ display:inline-block; width:82%; overflow:hidden; white-space:normal;}
    #form_data_add legend{ }
	#form_data_add .form_title_div{border-bottom:1px solid #ccc; margin-bottom:10px; width:93%;}
	#form_data_add .form_title{font-size:20px;}
    </style>
    <div id="form_data_add_html">
	<div class=form_title_div ><span class=m_label> </span><span class=input_span><div class=form_title>貔貅手链</div></span></div>    
    <div id=name_div><span class=m_label><span class=required>*</span>姓名</span><span class=input_span><input type=text id=name placeholder="" value="" check_reg="" monxin_required="1"  maxlength=""  class="monxin_input" /> <span class=state id=name_state></span></span></div><div id=phone_div><span class=m_label><span class=required>*</span>手机</span><span class=input_span><input type=text id=phone placeholder="" value="" check_reg="/^(1)[0-9]{10}$/" monxin_required="1"  maxlength=""  class="monxin_input" /> <span class=state id=phone_state></span></span></div><div id=diqu_div><span class=m_label><span class=required>*</span>区域</span><span class=input_span><input type=hidden id=diqu check_reg="" monxin_required="1" class="monxin_input"  /> <span class=state id=diqu_state></span><script src="area_js.php?callback=set_diqu&input_id=diqu&id=0&output=select" id="diqu_area_js"></script>
</span></div><div id=dizhi_div><span class=m_label><span class=required>*</span>地址</span><span class=input_span><input type=text id=dizhi placeholder="请输入您的详细地址" value="" check_reg="" monxin_required="1"  maxlength=""  class="monxin_input" /> <span class=state id=dizhi_state></span></span></div><div id=taocan_div><span class=m_label><span class=required>*</span>套餐</span><span class=input_span><select id=taocan monxin_value="" check_reg="" monxin_required="1"  class="monxin_input" ><option value="男款298元">男款298元</option><option value="女款298元">女款298元</option><option value="情侣款520元">情侣款520元</option></select> <span class=state id=taocan_state></span></span></div><div id=xuyuan_div><span class=m_label>许愿墙（选填）</span><span class=input_span><input type=text id=xuyuan placeholder="大师亲自代为祈福，很灵验的哦!" value="" check_reg="" monxin_required="0"  maxlength=""  class="monxin_input" /> <span class=state id=xuyuan_state></span></span></div>	<div><span class=m_label> </span><span class=input_span><a href="#" id=submit class="submit"><span class=b_start> </span><span class=b_middle>提交</span><span class=b_end> </span></a> <span></span></span></div>    
    </div>
    <br /><br /><br /><br />
</div>
          
        </div>
    </div>
</div>
<!-- END PAGE CONTAINER -->
<!-- BEGIN FOOTER -->
<div class="page-footer" monxin_layout="bottom" user_color='shape_bottom'>
    
    <script src="http://duolivape.com/public/sys_foot.js"></script>

</div>
<!-- END FOOTER -->
	 <div class=fixed_right_div >
		<a href="#" id="wx" title="关注我们" i_class="fa fa-weixin" ><i class="fa fa-weixin"></i></a> <a href="#" id="edit_page_layout_button" title="编辑网页" i_class="fa fa-pencil" ></a> <a href="#" id="print_page" title="打印网页" i_class="fa fa-print" ><i class="fa fa-print"></i></a> <a href="#" target="_blank" title="查看教程" i_class="fa fa-question" id="tutorial_button_a" ><i class="fa fa-question"></i></a> <a href="#" target="_blank" title="分享有奖" id="share_button" i_class="fa fa-share-alt" ><i class="fa fa-share-alt"></i></a> <a href="#" title="返回顶部" id="return_top" i_class="fa fa-chevron-up" ><i class="fa fa-chevron-up"></i></a>  

<img src="program/diymodule/attachd/image/20151009/20151009103426_58979.png" alt="" style="display:none;"  id=wx_qr />
<script>
var hide_share;
function hide_share_div(){
	$(".fixed_right_div .share_div").css('display','none');
}

$(document).ready(function(){

			$("#return_top").click(function(){
                $('body,html').animate({scrollTop:0},100);
                return false;
            });

$("#print_page").click(function(){window.print();return false;});
	$(".fixed_right_div #share_button").click(function(){return false;});
	$(".fixed_right_div #share_button").hover(function(){
		clearTimeout(hide_share);
		$(".fixed_right_div .share_div").css('display','block');
		$(".fixed_right_div .share_div").css('top',$(this).offset().top-$(window).scrollTop()-5);
		$(".fixed_right_div .share_div").css('right',$(this).width()+5);
		},function(){
			hide_share=setTimeout("hide_share_div()", 300);
	});
	$(".fixed_right_div .share_div").hover(function(){
		clearTimeout(hide_share);
		},function(){
			hide_share=setTimeout("hide_share_div()", 300);
	});
		$(".fixed_right_div #wx").hover(function(){
			a_m=$(this).offset().top+$(this).height()/2 -$(document).scrollTop() ;
			$(".fixed_right_div #wx_qr")
				$(".fixed_right_div #wx_qr").css('display','block').css('top',a_m-($(".fixed_right_div #wx_qr").height()/2)).css('right','50px');
			},function(){
				$(".fixed_right_div #wx_qr").css('display','none');		
		});

    

		
});
</script>
<style>
.share_div{display:none; position:fixed; height:40px; line-height:40px; min-width:100px; background-color:#FFF; padding:5px; border-radius:5px; }
.share_div a{ background-color:transparent;}
 #wx_qr{position:fixed; z-index:999;height:210px;display:none;}
#return_top{display:none;}
</style>
<div class="share_div">
	<div class="bdsharebuttonbox" data-tag="share_1">
	<a class="bds_more" data-cmd="more">更多</a>
	<a class="bds_weixin" data-cmd="weixin"></a>
	<a class="bds_qzone" data-cmd="qzone" href="#"></a>
	<a class="bds_sqq" data-cmd="sqq"></a>
	<a class="bds_tieba" data-cmd="tieba"></a>
	<a class="bds_tqq" data-cmd="tqq"></a>
</div>
<script>
	window._bd_share_config = {
		common : {
			bdUrl : window.location.href+'#&share='+getCookie('monxin_id')+'&', 
			bdPic : 'http://'+window.location.host+'/logo.png'
		},
		share : [{
			"bdSize" : 32
		}]

	}
	with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?cdnversion='+~(-new Date()/36e5)];
</script>
</div>	 </div>
     <audio id="notice_audio" src="" autoplay></audio>
     <p id=fade_div>
		 <p id=set_monxin_iframe_div>
			<a href=# id=close_button  title="关闭">&nbsp;</a>
			<iframe  id=monxin_iframe frameborder=0 src='' scrolling="yes" marginwidth=0 marginheight=0 vspace=0 hspace=0 allowtransparency=true></iframe>
		</p>
	 </p>
	
<div class="ie_warning modal fade"  style="display:none;" tabindex="-1" role="dialog"   aria-labelledby="myModalLabel" aria-hidden="true">
     <div class="modal-dialog">
          <div class="modal-content">
             <div class="modal-header">
                <button type="button" class="close" 
                   data-dismiss="modal" aria-hidden="true">
                      &times;
                </button>
                <h4 class="modal-title" id="myModalLabel">
                   <b>亲！您的浏览器太out了，很多功能无法正常使用。	</b>
                </h4>
             </div>
             <div class="modal-body">
                换个潮点的浏览器吧，您会发现网页会更有趣哦！ <a href=http://www.baidu.com/s?wd=chrome target=_blank>点击搜索谷歌浏览器</a>
             </div>
             <div class="modal-footer">
                <button type="button" class="btn btn-default" 
                   data-dismiss="modal">不，我偏要用这个悲催的浏览器 > ></button>
                
             </div>
          </div> 
      </div>
</div>   
<img src=http://duolivape.com/weixin_share.png class=weixin_share />
 
</body>
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